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[板层黄斑裂孔和假性裂孔的适应症及手术方法]

[Indications and surgical approach for lamellar macular holes and pseudoholes].

作者信息

Haritoglou C, Schumann R G

机构信息

Augenklinik Herzog Carl Theodor, Nymphenburger Str. 43, 80335, München, Deutschland.

Augenklinik, Ludwig-Maximilians-Universität München, München, Deutschland.

出版信息

Ophthalmologe. 2017 Dec;114(12):1117-1121. doi: 10.1007/s00347-017-0591-y.

Abstract

BACKGROUND

This article presents a discussion on the indications for surgical interventions of lamellar macular holes and pseudoholes.

OBJECTIVE

What are the criteria for deciding on the surgical intervention for lamellar macular holes and pseudoholes?

MATERIAL AND METHODS

The article is based on a literature search in PubMed RESULTS: Lamellar macular holes and pseudoholes are subdivided into degenerative and tractive alterations. Both entities are associated with relatively specific morphological and functional criteria, which correlate with the expected functional and morphological results of the surgical intervention. Patients with pseudoholes therefore profit more from a surgical intervention because alterations to the outer retina are less pronounced in these cases.

CONCLUSION

The indications for surgery of lamellar macular holes and pseudoholes are established by the type of lamellar defect and the morphological and functional alterations associated with this condition.

摘要

背景

本文讨论了板层黄斑裂孔和假性裂孔的手术干预指征。

目的

决定板层黄斑裂孔和假性裂孔手术干预的标准是什么?

材料与方法

本文基于在PubMed上的文献检索。

结果

板层黄斑裂孔和假性裂孔可细分为退行性和牵引性改变。这两种情况都与相对特定的形态学和功能标准相关,这些标准与手术干预预期的功能和形态学结果相关。因此,假性裂孔患者从手术干预中获益更多,因为在这些情况下,外层视网膜的改变不太明显。

结论

板层黄斑裂孔和假性裂孔的手术指征由板层缺损的类型以及与此病症相关的形态学和功能改变确定。

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